Builder’s Risk – Course of Construction Questionnaire

Builders' Risk - Course of Construction Questionnaire
* Required
Applicant(s) Full Name *
Your answer
Legal Entity of Applicant *
Choose
Individual
Partnership
LLC
Corporation
Other
Street Address or Subdivision & Lot No. *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Builder's Name *
Your answer
Builder's Commercial General Liability Limit *
Choose
$500,000
$1,000,000
$2,000,000
$3,000,000+
Construction Material *
Choose
Frame
Joisted Masonry (Veneer)
Masonry Non-Combustible
Non-Combustible
Fire Resistive
100% Completed Value of Project *
Your answer
Deductible *
Choose
$1,000
$2,500
$5,000
$10,000
$25,000
Estimated length of project *
(in months)
Your answer
Start Date of Project *
MM
/
DD
/
YYYY
If construction has already started, indicate percentage completed
Your answer
More than one structure under construction? (If yes, explain)
Your answer
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About Author

Cameron A. Shandersky, CPCU
Cameron's Bio